Organization · Type 2 NPI

Venice Family Clinic

Federally Qualified Health Center (FQHC) · Culver City, CA

NPI number 1003842360 Active

Practice location

4700 Inglewood Blvd, #102
Culver City, CA 90230-5896

Fax (310) 664-7913

Mailing address

604 Rose Ave
Venice, CA 90291-2767

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Clinic/Center 261QC1500X960001387 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

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About NPI 1003842360

Venice Family Clinic's National Provider Identifier is 1003842360, issued on Jun 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Culver City, CA. The record was last updated on Sep 7, 2023.